Organization Name: | ALLEN COUNTY CARDIOLOGY LLC |
NPI Number: | 1427276773 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NAVEEN LAL (MANG. PARTNER) |
Mailing Address: | 604 W. Berry St Ft Wayne |
State: | IN US |
Postal Code: | 468022106 |
Phone Number: | 2604231331 |
Fax Number: | 2604221046 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 01045695A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |